Sign Up

Please supply your information as requested below. It could take up to a week for processing and verification. You will receive an email or letter with your code and activation instructions.

You may NOT request an activation code for your child, spouse or other adult. If you want to request access to Eskenazi Health MyChart for your child or another adult, contact your provider's office and ask about proxy access.

Note: You must enter either your Last Four Digits of SSN or Medical Record Number in order to request an activation code.

 Indicates a required field

Follow these steps to sign up for a MyChart account.

• Enter your personal information.
• Verify your contact information.
• Choose a username and password.

If you have any questions, please contact us at 317.880.CARE(2273).

Follow these steps to sign up for a MyChart account.

• Enter your personal information.
• Verify your identity.
• Choose a username and password.

If you have any questions, please contact us at 317.880.CARE(2273).

Follow these steps to sign up for a MyChart account.

• Enter your personal information.
• Verify your identity.
• Choose a username and password.

If you have any questions, please contact us at 317.880.CARE(2273).

First, we need to collect some information about the patient. If you have any questions, please contact us at 317.880.CARE(2273).

 Indicates a required field

Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 317.880.CARE(2273).

 Indicates a required field

We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.